Name
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First Name
Last Name
Email
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Subject
How did you find me? Is there a person, website or event that referred you?
What are your 3 top health goals?
What health issues and/or symptoms are you experiencing that you need help of a doctor of clinical nutrition/dietitian with?
What have you tried in the past that worked?
What have you tried in the past that didn't work?
If you had a magic wand and could get anything you want, what do you wish for when it comes to your health? What do ideal results look like for you?
What has stopped you from getting to the ideal health and results you're hoping for?
What is your health problem costing you? How do your health issues affect your day-to-day activities, social life, relationships, or your mental/emotional state?
What is solving this problem worth to you? What do you want to be able to do that you cannot comfortably do now. Do you have fear regarding your health and your future health?
On a scale of 1-10, how willing are to to change your diet and lifestyle as part of your healing process?
Which one describes you best?
If during our conversation we find that my approach will get you the result you want, how soon can you start
This is an investment in yourself, your health, and your future healthspan. Working directly with me for 90 days and getting my nearly 5 decades of education and experience may require addional functional testing if we decide that is needed. My goal is to get you results as quickly as possible so you can get back to your life, family, social activities, job, travel, or what matters most to you--not your health problems. The investment includes 90 days of coaching, a personalized plan, education, motivation and support. If we decide that working together is a good fit, are you able and willing to make this investment in your health now?
Payment plan available. You may use a HSA or FSA card. Some patients submit claims to their insurance for reimbursement.
Do you need your spouse/partner or parent opinion or financial support to make a decision about working together? If yes, please discuss my program with them and the financial investment before we talk. Or, please have them attend the session.
